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[1]吴志云,查本俊,贾广锐,等.魏氏鼻咽通气道联合声门上喷射通气在无痛胃镜检查中的应用[J].医学研究与战创伤救治(原医学研究生学报),2020,22(01):30-32.[doi:10.3969/j.issn.1672-271X.2020.01.007]
　WUZhi-yun,ZHABen-jun,JIAGuang-rui,et al.Clinical application of WEI nasal jet tube with supraglottic pulsatile jet oxygenation for painless gastroscopy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(01):30-32.[doi:10.3969/j.issn.1672-271X.2020.01.007]
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魏氏鼻咽通气道联合声门上喷射通气在无痛胃镜检查中的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第22卷
期数:
2020年01期
页码:
30-32
栏目:
临床研究
出版日期:
2020-01-06

文章信息/Info

Title:
Clinical application of WEI nasal jet tube with supraglottic pulsatile jet oxygenation for painless gastroscopy
作者:
吴志云; 查本俊; 贾广锐; 胡吉; 施志波
作者单位：362000 泉州，解放军联勤保障部队第九一○医院麻醉科（吴志云、查本俊、贾广锐、胡 吉、施志波）
Author(s):
WU　Zhi-yun;  ZHA　Ben-jun;  JIA　Guang-rui;  HU　Ji;  SHI　Zhi-bo
（Department of Anesthesiology，the 910th Hospital of the Joint Logistics Support Force，PLA，Quanzhou 362000，Fujian，China）
关键词:
声门上; 喷射通气; 胃镜; 气道管理
Keywords:
supraglottic;  pulsatile jet oxygenation;  gastroscopy;  airway management
分类号:
R614.2
DOI:
10.3969/j.issn.1672-271X.2020.01.007
文献标志码:
A
摘要:
目的　通过与常规吸氧比较，评价魏氏鼻咽通气道联合声门上喷射通气在无痛胃镜检查中的安全性和可行性。 方法　选择2019年3月1日至3月25日解放军联勤保障部队第九一○医院ASA I～Ⅲ级、18岁≤年龄<65岁的行无痛胃镜检查患者100例，采用完全随机法将患者分为喷射通气组和常规吸氧组，每组50例。记录2组患者低氧血症的发生情况和解除低氧血症的办法，记录丙泊酚总量和检查时间以及其他不良事件。 结果　常规吸氧组有8例出现低氧血症患者（呼吸抑制6例，轻度低氧血症2例）；其中6例通过托下颌，2例通过面罩通气来纠正低氧血症，而喷射通气组未出现低氧血症，组间差异有统计学意义（P<0.05）。常规吸氧组胃镜操作时间明显长于喷射通气组[（6.9±2.8 min） vs （6.0±1.3）min,P<0.05]。2组丙泊酚用量及不良事件发生率比较差异无统计学意义（P>0.05）。 结论　魏氏鼻咽通气道联合声门上喷射通气应用于在无痛胃镜检查能够减少低氧血症的发生，缩短检查时间，安全可行。
Abstract:
Objective　To evaluate the efficacy and safety of WEI Nasal Jet Tube with supraglottic pulsatile jet oxygenation for painless gastroscopy by comparing with oxygen.　Methods　100 patients of ASA I-Ⅲ (18 years≤aged<65 years，undergoing for painless gastroscopy) were randomly divided into 2 groups：jet group received WEI Nasal Jet Tube with supraglottic pulsatile jet oxygenation and normal group received oxygen. The hypoxemia and processing method of hypoxemia were recorded. The total of propofol，the time of gastroscopy and adverse events were also recorded.　Results　8 patients occurred hypoxemia (6 patients subclinical respiratory depression，2 patients mild hypoxemia)，6 of whom required jaw thrust and 2 of whom required face mask ventilation to correct the hypoxia in the normal group. However, no patient occurred hypoxemia in the jet group，which was significantly more in the normal group than that in the jet group (P<0.05). The time of gastroscopy was longer in the normal group than that in the jet group [（6.9±2.8 min） vs （6.0±1.3）min,P<0.05]. There was no significant difference between the dosage of propofol and the incidence of adverse events in two groups（P>0.05）. Conclusion WEI nasal jet tube with supraglottic pulsatile jet oxygenation for painless gastroscopy can reduce the incidence of hypoxemia and shorten the time of gastroscopy，and is safe and feasible.

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备注/Memo

备注/Memo:
基金项目：泉州市科技计划项目(2016Z066)
更新日期/Last Update: 2020-01-06